Utilization Review Specialist

Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No RemoteSalary: $55K - $70KAbout UsAt Exact Billing Solutions, we are a dedicated team of revenue cycle management specialists focused on the complexities of substance use disorder, mental health, and autism care within the healthcare sector. Our extensive industr…

Join Our Team as a Care Review SpecialistAt Exact Billing Solutions (EBS), we are dedicated to transforming the revenue cycle management landscape within the substance use disorder, mental health, and autism care sectors. Our team is comprised of industry experts who understand the unique challenges faced by healthcare providers, and we pride ourselves on our innovative billing solutions that empower our partner organizations.As we embark on a journey of significant expansion, we are seeking talented individuals to join our team and contribute to our mission of enhancing patient care through operational excellence.The RoleAs a Care Review Specialist, you will be instrumental in optimizing the use of healthcare resources. You will work closely with clinical teams and insurance providers to review and process records for authorization, ensuring compliance with best practices and insurance regulations.

Join Our Team as a Case Review Analyst!Location: Lauderdale Lakes, FL - On-siteAbout Us:At Exact Billing Solutions (EBS), we are a dedicated team of revenue cycle management experts specializing in the fields of substance use disorder, mental health, and autism care. Our extensive industry knowledge allows us to tackle the unique challenges of these sectors, and our innovative billing processes serve as the lifeblood for our partner healthcare organizations.As we prepare for rapid expansion, we are eager to build our teams to support our growing global operations.EBS is part of the ICBD family office portfolio, which merges entrepreneurial agility with the financial stability of a self-funded, founder-led organization. Our success is a testament to our capability to address complex healthcare challenges with operational excellence and a client-first focus.Our Mission:Founded to alleviate the burdens of billing and insurance administration faced by providers, EBS aims to streamline processes and enhance cash flow, ultimately delivering peace of mind to our clients across various specialties.Awards & Recognition:We are proud to contribute to the success of the broader ICBD family office ecosystem, earning accolades such as:Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America)EY Entrepreneur Of The Year® U.S. OverallFlorida Trend Magazine – 500 Most Influential Business LeadersRole Overview:As a Case Review Analyst, you will be instrumental in optimizing the utilization of healthcare resources. You will review and process records for authorization submissions to payors, working closely with clinical teams, insurance providers, and other healthcare professionals to enhance patient care.

Join Us as a Medical Records Reviewer!As a vital member of our team at Exact Billing Solutions (EBS), located in Lauderdale Lakes, FL, you will contribute to the efficient management of healthcare resources. You will play a crucial role in reviewing and processing medical records to facilitate payment authorizations from payors, collaborating closely with clinical teams and healthcare professionals to enhance patient care.

Join Our Team as an Insurance Refund Specialist at Exact Billing Solutions!Location: Lauderdale Lakes, FLSalary: $26 per hourAbout Us:At Exact Billing Solutions, we pride ourselves on being industry leaders in revenue cycle management, specifically within the realms of substance use disorder, mental health, and autism care services. Our team is composed of seasoned professionals who possess an in-depth understanding of the unique challenges faced in these sectors. With our innovative billing processes, we empower healthcare providers to focus on what truly matters – patient care.We are on the brink of significant expansion, and as part of the ICBD family office portfolio, we combine entrepreneurial agility with the financial discipline of a self-funded organization. Our ability to tackle complex healthcare issues is reflected in our operational excellence and commitment to client satisfaction.Our Mission:Founded to alleviate the burdens of billing and insurance management, Exact Billing Solutions aims to enhance cash flow and provide peace of mind to our clients. We understand the critical impact that inefficiencies in revenue cycle management can have on patient care, and we are dedicated to overcoming these challenges.Recognitions:Our contributions have greatly benefited the ICBD family office ecosystem, earning us accolades such as:Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America)EY Entrepreneur Of The Year® U.S. OverallFlorida Trend Magazine – 500 Most Influential Business LeadersRole Overview:As an Insurance Refund Specialist, you will play a critical role in reviewing, processing, appealing, and reconciling insurance overpayments and refunds. Your expertise will ensure compliance with payer regulations, internal policies, and accounting standards while maintaining precise financial records. Collaborating closely with billing, collections, and accounting teams, you will identify and resolve credit balances related to patient and insurance accounts.

Join Our Team as a Billing Specialist - Behavioral HealthAt Exact Billing Solutions (EBS), based in Lauderdale Lakes, FL, we pride ourselves on being at the forefront of revenue cycle management within the substance use disorder, mental health, and autism care sectors. Our dedicated team of professionals is driven by a commitment to innovation and efficiency, ensuring that our healthcare partners can focus on what they do best: providing exceptional care to those in need.As we expand our global operations, we’re looking for a motivated Billing Specialist to enhance our capabilities in effective communication and claims management. This role is crucial to securing maximum benefits for our clients and ensuring timely collections across multiple clinic locations, which ultimately impacts the lives of families and children in our community.

Exact Billing Solutions (EBS) in Lauderdale Lakes, Florida, supports healthcare providers in the substance use disorder, mental health, and autism care sectors by improving the revenue cycle and reducing administrative burdens. As part of a team focused on operational accuracy and client service, the Medical Records Specialist - Behavioral Health plays a key role in supporting both care delivery and compliance. Role overview This position centers on processing and managing medical records requests for behavioral health services. The Medical Records Specialist retrieves records from internal systems, checks them for accuracy and completeness, and ensures timely delivery through payer portals or by mail. The work supports compliance with payer audits, legal requests, and continuity of care for patients. What you will do Process and manage requests for medical records related to behavioral health cases Retrieve documentation from internal systems Verify records for accuracy and completeness Deliver records through payer portals or by mail as required Support compliance with audits and legal inquiries About Exact Billing Solutions EBS is part of the ICBD family of companies and has been recognized for industry excellence, including: Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America EY Entrepreneur Of The Year® U.S. Overall Florida Trend Magazine – 500 Most Influential Business Leaders The team is committed to efficient, client-focused solutions that help healthcare providers focus on patient care.

Join Our Team as a Care Coordination Specialist!Location: Lauderdale Lakes, FL - On-siteAbout UsAt Exact Billing Solutions (EBS), we are pioneers in revenue cycle management, focusing on the substance use disorder, mental health, and autism care sectors. Our dedicated team possesses extensive industry expertise and is recognized for our innovative approaches to complex healthcare challenges. By utilizing our proprietary billing system, we empower our partner healthcare organizations to thrive.As part of the ICBD family office portfolio, we balance entrepreneurial agility with the financial rigor of a self-funded, founder-led company. Our rapid growth is a testament to our ability to deliver operational excellence and prioritize client needs.Your Role as a Care Coordination SpecialistIn this integral position, you will ensure the optimal utilization of healthcare resources. Your responsibilities will include reviewing and processing clinical records for insurance authorization. Collaboration with clinical teams, insurance providers, and healthcare professionals will be essential to support patient care efficiently.

Join Our Team as an Operations Process SpecialistExact Billing Solutions (EBS), located in Lauderdale Lakes, FL, is seeking a detail-oriented Operations Process Specialist to enhance our operational workflows. If you are passionate about streamlining processes and ensuring operational excellence, this opportunity is for you.About UsAt Exact Billing Solutions, we pride ourselves on being a leader in revenue cycle management, specializing in the fields of substance use disorder, mental health, and autism care. Our team of dedicated professionals combines deep industry knowledge with innovative solutions to tackle the unique challenges of healthcare billing. As part of the ICBD family, we are rapidly expanding our operations to provide exceptional service to our partners.Your RoleAs an Operations Process Specialist, you will collaborate with various departments to observe, analyze, and document existing processes, identifying opportunities for improvement and standardization. Your contributions will play a vital role in enhancing efficiency and ensuring consistency across our operations.